Posterior Fixation and Fusion for Posteriorly Displaced Odontoid Process Fractures.

Kim, Dae Hyun; Kang, Byung Jik; Hwang, Sung Kyoo; Hamm, In Suk; Park, Yeun Mook; Kim, Seung Lae

Original Article

Journal of Korean Neurosurgical Society 1992;21(6): 643-650.

Dae Hyun Kim, Byung Jik Kang, Sung Kyoo Hwang, In Suk Hamm, Yeun Mook Park, Seung Lae Kim

Department of Neurosurgery, School of Medicine, Kyungpook National University Hospital, Taegu, Korea.

ABSTRACT

Several different methods of posterior wiring and fusion have been advocated for treatment of the odontoid process fractures, regardless of direction of displacement. Between 1983 and 190, 8 cases of type II odontoid process fracture underwent posterior wiring and fusion at Kyungpook National University Hospital. Among them, three cases were posteriorly displaced fractures. For these three cases, the authors modified wiring method and applied acrylic resin. The authors thought this procedure is not complex and a good method for posteriorly displaced type II fractures in which conventional posterior wiring may actually create a tration effect that further displaces the fractured odontoid into the spinal canal.

Key Words: Modified wiring method; Acrylic resin; Posterior displaced type II odontoid process fractures